Is There a Characteristic Autonomic Response During Outbursts of Combative Behavior in Dementia Patients?
Is There a Characteristic Autonomic Response During Outbursts of Combative Behavior in Dementia Patients?
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DOI：
10.3233/adr-210007
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发表时间：
2021-05-04
期刊：
影响因子：
--
通讯作者：
Greco FA
中科院分区：
文献类型：
--
作者：
Deutsch CK;Patnaik PP;Greco FA
我们试图通过使用腕带设备来确定皮肤电导水平是否可以警告痴呆症患者爆发的战斗行为。两次爆发被捕获并记录在这里。虽然腕带测量的生理参数没有提前警告，但有一个共同的模式是副交感神经戒断（心率增加），大约30秒后是交感神经激活（皮肤电导增加）。在文献中，类似的模式发生在心因性非癫痫发作。我们假设相似的自主神经反应反映了病理生理学的相似性，并且身体活动可能部分解释了皮肤电导的时间过程。
We sought to determine whether skin conductance level could warn of outbursts of combative behavior in dementia patients by using a wristband device. Two outbursts were captured and are reported here. Although no physiologic parameter measured by the wristband gave advance warning, there is a common pattern of parasympathetic withdrawal (increased heart rate) followed approximately 30 seconds later by sympathetic activation (increased skin conductance). In the literature, a similar pattern occurs in psychogenic non-epileptic seizures. We hypothesize that similar autonomic responses reflect similarities in pathophysiology and that physical activity may partially account for the time course of skin conductance.